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Skin and Hair Disorders
प्रश्न #26936
77 दिनों पहले
295

Wrinkles and pigmentation and hair loss - #26936

Pushpa

I have pigmentation and wrinklesin my face andIhave hair fall and hair loss also hair loss patches in front side please help me from last 3 to 4 months and visible wrinkles in near under eye and forehead

आयु: 43
पुरानी बीमारियाँ: Migraine
300 रुपये (~3.51 डॉलर)
प्रश्न बंद है

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डॉक्टरों की प्रतिक्रियाएं

Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
77 दिनों पहले
5

For hair fall

1) Bhringamalaki tail -ext apply massage for 10 min 2 times a day 2) Jeevamrita leha -1 tsf - after food 2 times day 3) Shudh shilajatu 250 mg+ saptamrit loha500mg+ bhringraj churna -3 gm– 2 time after food with honey and ghee

selected hair treatment for three months before you will see results. For pimples Simple Remedies 1. Prepare paste from turmeric and milk of Calotropis procera(madaar) , apply on the affected area. 2. Apply the paste prepared from turmeric & sandal wood with rose water. 3. Apply the paste of Terminalia Arjuna. 4. Make a paste of nutmeg (Jaiphal) with raw milk. Apply on pimples and black heads leave on for 20 minutes. medicine 1) Arogyavardhini rasa-500mg +gandhaka rasayana-500mg +khadira Churna-2gm +nimbadi Churna-2gm - with 20 ml of manjishtadi kwath 3 times a day after food

2) Manjishtadi Taila or Kumku-madi Taila (external) apply 2 times a day

3) Syrup- raktashodhaka-20ml after food 2 times a day with water. Diet and Lifestyle

Pathya: Fresh fruits, fresh vegetables, nutritious food, adequate sleep

Apathya: Avoid salt, sugar, tobacco, and alcohol. Overconsumption of salt and sugar increases dandruff and hairloss. Avoid large amounts of vitamin A.

Avoid strong soaps, shampoo or hair sprays. Only use mild castile soaps. Hats and wigs are apt to cause hair to fall out faster, since they limit the air to the scalp. Avoid tension, stress, worry and hurry

Pathya: Nutritious food, relaxation techniques

Apathya: Stress, tension, anxiety, awakening at night, and exposure to sunlight Surely this will help you

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
77 दिनों पहले
5

Hello pushpa ji, The condition of hair and skin are indicators of our overall health. Changes in hair texture, appearance, or growth rate, as well as skin’s color, texture, and presence of rashes or lesions, can reflect underlying health issues. So, internal medicine and external treatment both are needed. Treatment - 1. Neem ghanvati 1-0-1 after meal 2. Mahamanjisthadi kwath 30ml with 30 ml water twice a day after meal 3. Amalaki rasayan+ Black sesame seed powder - 1 tsp with water twice a day before meal 4. Rogan Badam oil -2-2 drops in each nostril either in the morning empty stomach or at bedtime. 5. Apply Aloe vera gel after cleaning the face with rosewater 6. Apply kumkumadi tel before bedtime

Follow these - 1. Adequate amount of water 2. Eat antioxidant rich food like amla, beans, green tea, spinach etc 3. Clean your towel and pillowcase every week 4. Avoid using makeup or some chemical product especially before sleeping. 5. Boil 1 spoon of triphla powder in 2 glasses of water,let it cool then use this for hairwash once a week. 6. Stress management -Through meditation, walking, journaling etc.

Yoga - 1. Anulom vilom 2. Sheetali 3. Sheetkari 4. Adhomukhashavasan 5. Uttanasan

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Hi pushpa this is Dr Vinayak as considering your problem…no need to worry… As you are 43 menas near to menapause stage…these are common things happening in every life as life goes on… *Don’t think too much about anything… *Have proper sleep and proper diet…

Rx-use Manjistadi taila massage all over the face… gently take plane water steam properly till oli goes on from face… T.ksheerabala 101 1-0-1 after food with Luke warm water Follow this you will notice the changes

310 उत्तरित प्रश्न
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HELLO PUSHPA JI,

first of all avoid excessive pitta vardhakahar vihar like too spicy,sour and salty food ,sesame seeds etc.

And start taking these medications, FOR YOUR HAIR FALL 1.Narsimha rasayana 1tsf with lukewarm milk at bed time. 2.Trichup cap.1-0-1 3.Amalki choorna 1tsf twice in a day with Lukewarm water.

FOR YOUR SKIN *Massage your face with NALPAMARADI OIL. Thrice in a week. *Massage your face with kumkumadi tailam at bed time only.

Take care😊

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
77 दिनों पहले
5

Neemghan vati Kaishore guggulu- 1 tab twice daily after food with lukewarm water Amlaki rasayana- 1 tsp with warm water at night Apply coffee powder with Alovera gel + pinch of alum powder + vit E capsule + rice flour + curd make paste and apply over face weekly twice

2775 उत्तरित प्रश्न
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Hello Pushpa I can understand your concern regarding pigmentation wrinkles and hairfall but dont worry we are here to help ypu out😊

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION 1 Manjisthadi ks tab 2-0-2 after breakfast and dinner 2 sarivasavam 30ml-0-30ml after breakfast and dinner 3 Groo 1-0-1 after food 4 Jeevamrutham 1 tsp at bed time follwed by warm water

✅ EXTETNAL CARE FOR HAIR AND SKIN

➡️FACE 👉Kumkumadi Tailam (for external face massage) Apply 3–5 drops at night, massage gently Reduces pigmentation, fine lines, improves glow 👉Weekly Ubtan Pack: Mix sandalwood powder + turmeric + rose water apply 15 min, wash with lukewarm water 👉Aloe vera gel at morning (moisturises & calms skin) 👉Avoid chemical-based creams or any bleaching agents

➡️HAIR 👉Nilibhringadi Tailam External scalp massage 2–3 times a week Stops hair loss, promotes regrowth in patches 👉Hair pack once a week Hibiscus flower paste + fenugreek seed paste + curd apply 20 min, wash with mild herbal shampoo

✅ DIET MODIFICATION ✅Include Cow ghee (1–2 tsp a day) Fresh fruits pomegranate, papaya, black grapes Soaked almonds (5 daily) and 2 walnuts Moong dal, green leafy vegetables Herbal teas (Tulsi, Brahmi, Rose)

❌Avoid Excess tea/coffee Spicy, fried, and very sour foods White sugar, processed snacks Late-night sleeping

✅LIFESTYLE MODIFICATION 👉Morning Drink warm water with ½ tsp turmeric & honey (detox & skin glow) 5 min Anulom Vilom pranayama (improves oxygen flow to skin & hair roots)

👉Night Gentle Kumkumadi Tailam massage on face Foot massage with sesame oil improves sleep & slows skin aging

Wish you a good hair and skin 😊

Warm Regards Dr Snehal Vidhate

936 उत्तरित प्रश्न
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Kaishore guggulu 2 tab twice daily, after meals Amalaki Rasayan 1 tsp with warm milk twice daily, before meals Bhringaraj Asava 20 ml with 20 ml water twice daily, after meals Kumkumadi tailam / Nalpamaradi Tilam 2-3 drops, gentle massage on the face Neelibhringadi tailam-for scalp massage

896 उत्तरित प्रश्न
27% सर्वश्रेष्ठ उत्तर

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HELLO PUSHPA,

YOU ARE EXPERIENCING- CHRONIC PIGMENTATION, DULL AND SENSITIVE SKIN, WRINKLES AND PROGRESSIVE HAIRLOSS WITH NO REGROWTH-ALL WITHOUT UNDERLYING CHRONIC ILLNESS.

ACCORDING TO AYURVVEDA- 1)SKIN ISSUE(,DULLNESS,HYPERPIGMENTATION,WRINKLES) DOSHA INVOLVEMENT- -PITTA AGGRAVVATION-, INFLAMMATION(PIMPLES), WRINKLES ,HEAT IN T-ZONE. -VATA INVOLVEMENT- , DULLNESS -RAKTA DUSTI(VITIATED BLOOD)- CAUSES ONGOING WRINKLES AND DISCOLORATION -AMA(TOXINS)- SKIN DOESNT ACCEPT PRODUCTS LEADS TO SENSITIVITY AND DARKNESS

2)HAIRFALL TURNING INTO HAIR LOSS(NO NEW HAIR GROWTH) -VATA PITTA AGGRAVATION AFFECTS HAIR ROOTS,AND WEAKENS REGENERATION -ASTHI DHATU KSHAYA(WEAK BONE/HAIR TISSUE)FROM IMPROPER NUTRITION OR STRESS -POOR DIGESTION RESULTS IN MALNOURISHED RASA AND RAKTA NOT SUPPORTING HAIR GROWTH

WRINKLES, HYPERPIGMENTATION PROBLEM- PITTA+RAKTA+KAPHA=HEAT+TOXINS+BLOCKED CHANNELS

HAIRLOSS-VATA-PITTA+ASTHI DHATU- HAIR ROOT DRYING WEAKENED NUTRITION FOLLICLE DAMAGE, NO REGROWTH

#TREAMENT GOAL-MONTH WISE

MONTH 1- SKIN=REDUCE HYPERPIGMENTATION, WRINKLES HAIR=STOP HAIR FALL, INTERNAL= TOXIN REMOVAL,IMPROVE BOWEL HEALTH

MONTH 2- SKIN=FADE MARKS,BRIGTHEN TONE, HAIR- IMPROVE TEXTURE,INTERNAL=LIVER AND BLOOD DETOX

MONTH 3- SKIN=GLOW, LESS HYPERPIGMENTATION , HAIR= INITIATE REGROWTH-NOURISH RAKTA+ASTHI DHATU

MONTH 4 TO 6- SKKIN= LONG TERM IMMUNITY OF SKIN, HAIR=STRENGTHEN ROOTS, FULLER ROWTH, REJUVINATION PHASE

SO THIS TREATMENT IS FOR 6 MONTHS

MORNING(EMPTY STOMACH) 1)MAHATIKTAKA GHRITA- 1 TSP WITH WARM MILK/WATER=SKIN AND BLOOD DETOX, IMPROVES LIVER

2)TRIKATU CHURNA- 1/2 TSP WITH HONEY-ENHANCE DIGESTIVE FIRE, REDUCES TOXIN ACCUMULATION

3)WARM WATER WITH LEMON-1 GLASS=OPENS CHANNELS,REDUCES FACIAL OIL AND TOXINS

#AFTER BREAKFAST 1)CAP GANDHAK RASAYANA-1 CAP=FIGHTS HYPERPIGMENTATION ,PURIFIES BLOOD

2)MANJISTHA GHANVATI- 1 TAB=RAKTA PURIFIER, REDUCES PIGMENTATION

3)SAPTAMRIT LAUHA- 1 TAB = SUPPORTS HAIR REGROWTH,IMPROVES SKIN TONE REDUCE WRINKLES

4)SARIVADYASAVA-15ML+15ML WARM WATER=IMPROVES SKIN METABOLISM,REDUCES PITTA

#AFTER LUNCH 1)CAP.KESH KING PLUS/KESH RAKSHA- 1 CAP=STIMULATES NEW HAIR GROWTH

2)ASTHIPOSHAK RASAYANA/NARASIMHA RASAYANA- 1 TAB=STRENGTHEN BONES AND HAIR

#AFTER DINNER 1)AROGYAVARDHINI VATI-1 TAB=LIVER CLEANSING,DETOX SKIN AND BLOOD

2)TRIPHALA CHURNA- 1 TSP WITH WARM WATER=GUT CLEANSING,REGULATE SKIN METABOLISM

#EXTERNAL THERAPIES FOR SKIN

*CLEANSER(DAILY ) MIX MULTANI MITTI+NEEM POWDER+SANDALWOOD->PASTE WITH ROSE WATER

*NIGHT SERUM DAILY 2-3 DROPS OF KUMKUMADI TAILA+1 TSP ALOE VERA GEL->.APPLY GENTLY, LEAVE OVERNIGHT

*FACE STEAM-2TIMES/WEEK BOIL NEEM+TULSI+ROSE PETALS-USE STEAM FOR 10 MIN TO REDUCE WRINKLES

FOR HAIR- *OIL(3 TIMES/WEEK NIGHT) BHRINGARAJ TAILA+NEELIBRINGADI TAILA+BHRAMI TAILA WARM MIX-APPLY 20 MINS BEFORE SLEEP

HAIR WASH(2TIMES/WEEK) SOAKED REETHA+AMLA+SIKAKAI POWDER DECOCTION-OR HERBAL SADHEV/SOULTREE BRRAND SHAMPOO

SCALP MASK(1 TIME/WEEK) AMLA POWDER+BHRAMI POWDER+CURD-> APPLY LEAVE 20 MINS

DIET- FOODS TO INCLUDE *VEGETABLES-LAUKI,TINDA,CARROT,BEETROOT,CORIANDER,SPINACH (BOILED NO RAW SALAD STRCTLY) *FRUITS- AMLA, POMEGRANATE,PAPAYA,BLACK RAISINS(SOAKED) *GRAINS- RICE,OLD WHEAT, GREEN MONG KHICHDI *SPICES-HALDI,JEERA,AJWAIN,CORAINDER SEEDS *DAIRY- WARM MILK WITH TURMERIC, ASHWAGANDHA(NO CURD AT NIGHT) *FATS- COW GHEE, COLD PRESSED COCONUT OIL FOR COOKING(BEST FOR HAIR) *FLUIDS- CUMIN-CORIANDER-FENNEL WATER, KOKUM SARBAT,AMLA JUICE

AVOID STRICTLY *FRIED/GREASY- CHIPS,SAMOSA,PRATHA WITH TOO MUCH OIL *SOUR- VINEGAR,FERMENTED PICKLES, CURD(ESPECIALLY NIGHT) *SPICY-RED CHILLI,GREEN CHILLI(BAD FOR SKIN AS WELL AS HAIR) *SUGAR- WHITE SUGAR,SOFT DRINKS,CHOCOLATE *MILK+FRUIT- BANANA SHAKE, MILK WITH CITRUS *INCOMPATIBLE FOODS- FISH+MILK, SALT+MILK, CURD+HOT FOOD(PARATHA WITH CURD) *LATE MEALS- EATING AFTER 8:30 PM *DRY SNACKS- BREADS,RUSKS, BISCUITS-CAUSE DRYNESS AND HIAR BREAKAGE

#LIFESTYLE TO BE FOLLOWED 6:00 AM- WAKE UP,TONGUE SCRAPING,WARM WATER SIP 6:30AM- 5 MIN OIL PULLING WITH SESAME OIL(1 TSP OIL HOLD IN MOUTH FOR 5 MIN THEN SPIT) 7:00AM- PRANAYAM+YOGA-20 MIN 7:30 AM- BATH AND HERBAL DRINKS 8:30 AM- BREAKFAST 12:30 PM- LUNCH(FOCUS ON COOKED VEGETABLES+GHEE) 4:00PM- HERBAL TEA OR SOAKED RAISIN 7 6:00 PM- LIGHT WALK OR STRETCHING 7:30 PM- DINNER(LIGHT KHICHDI OR VEG SOUP ETC) 9:30 PM- WARM MILK AND TRIPHALA 10:00 PM- SLEEP(STRICTLY BEFORE 10:30PM)

#YOGA AND PRANAYAM

ASANA-15 MIN DAILY -SARVANGASANA-STIMULATES THYROID FOR HAIR -UTTANASANA- INCREASES SCALP BLOOD FLOW -PAWANMUKTASANA- DIGESTION BOOST -VAJRASANA AFTER MEALS-IMPROVES NUTRIENT ABSORPTION

PRANAYAM-10-15 MIN DAILY -ANULOM VILOM- BALANCES VATA-PITTA -SHEETALI- COOLS SKIN AND LIVER -BHRAMARI- CALMS STRESS AND IMPROVES SLEEP

#EMOTIONAL + STRESS SUPPORT -PRACTICE EARLY RISING+SUNLIGHT EXPOSURE-15 MIN DAILY -JOURNAL 3 THINGS DAILY- WHAT MADE ME SMILE/FEEL CALM -AVOID SCREENS 1 HOUR BEFORE BED -GENTLE SELF MASSAGE WITH WAR SESAME OIL-2 TIMES/WEEK

FOR MIGRAINE -SHIRASHULADI VATI= 2 TABS WHEN SEVERE HEADACHE

DO FOLLOE CONSISTENTLY 100% RESULT YOU WILL GET FOR SURE

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR.MAITRI ACHARYA

1836 उत्तरित प्रश्न
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Start with Amla juice 10ml+ aloevera juice 10ml twice daily after food with water Apply kumkumadi oil on face at night before bedtime Apply aloevera gel on face during the day. If going out apply Sunscreen SPF 50+ during the day use umbrella or wear hat. Light massage on scalp twice weekly with Brahmi amla oil twice weekly keep overnight and wash in the morning with mild herbal shampoo. Avoid processed spicy fried street foods Include seasonal fruits and seasonal vegetables+ dryfruits in your diet.

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HELLO PUSHPA,

You are experiencing facial pigmentation, visible wrinkles (under-eye and forehead), hair thinning, hair loss, and patches of hair loss at the front. These changes over the last 3–4 months are commonly linked to aging, hormonal fluctuations, stress, and possible nutritional deficiencies. Migraine and chronic stress can also aggravate hair fall and skin changes. Pigmentation and wrinkles often develop due to reduced collagen, sun exposure, and oxidative stress. Hair fall patches indicate localized scalp imbalance, possibly aggravated by stress, hormonal shifts, or scalp dryness. With targeted Ayurvedic care, nutrition, and external therapies, skin elasticity can improve, pigmentation can reduce, and hair regrowth can be supported, though results take a few months. Lifestyle, diet, and gentle care play a crucial role alongside medicines.

Before starting treatment, please provide:

Appetite and digestion Bowel and urine pattern Sleep quality Daily hair and skin care routine

START WITH,

Ama Pachana (first 3 days): Trikatu churna ½ tsp with warm water before meals Warm water with jeera 1 tsp in the morning

Internal Medicines (from day 4 onwards):

Arogyavardhini Vati 1 tab twice daily after meals Yashtimadhu Churna ½ tsp with warm milk at night Brahmi Churna ½ tsp with warm water or milk in the morning Ashwagandha Churna ½ tsp with milk at night

External Therapy:

Face massage with Kumkumadi Taila daily at night Hair oil massage with Bhringraj Taila 2–3 times a week, leave for 30–60 minutes Avoid harsh chemicals on hair and face

Diet & Food Nature:

Prefer: Fresh fruits, vegetables, nuts (almonds, walnuts), whole grains, milk, ghee, and proteins like lentils and seeds

Avoid: Fried, processed, and overly sugary foods, excessive caffeine, and deep-fried snacks Drink warm water throughout the day

Lifestyle & Care:

Protect face from direct sun; use hats or scarves outdoors Maintain stress control: meditation, pranayama, light exercise Sleep 7–8 hours to support hair and skin regeneration

Investigations & Follow-up:

Blood tests for thyroid, iron, vitamin B12, vitamin D, and hormone profile to rule out deficiencies

Follow-up after 20–25 days to monitor improvement in hair density, skin glow, and reduction in pigmentation

Warm regards :

Early intervention can slow down hair loss, improve scalp health, reduce pigmentation, and enhance skin elasticity

Consistency in medicines, external therapies, and diet is key Gradual results are expected; follow-uP is important to modify therapy if needed.

DR.KARTHIKA

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
76 दिनों पहले
5

HELLO PUSHPA,

ROOT CAUSE ACCORDING TO AYURVEDA

-HAIRFALL AND THINNIG= primarily linked with vata-pitta imbalance, poor nourishment to asthi dhatu and weak rasa rakta dhatu -Skin wrinkles and pigmentation= due to rakta dushti, pitta aggravation, and subtle toxins

1) INTERNAL MEDICATIONS

FOR HAIR DENSTITY AND FALL REDUCTION

-BRINGARAJASAVA= 15 ml with water after meals twice daily =nourishes hair roots and improves liver function

-KESHYA RASAYANA= 1 tsp morning empty stomach = hair specific rasayana for density

-NARASIMHA RASAYANA= 1 tsp with warm milk evening =builds tissues and strengthens hair

-GUDUCHI SATVA= 250 mg after breakfast with water =immuno modulator and detoxifier, help with rakta Suddhi

B) FOR SKIN

-RAKTAMOKSHAK VATI(UNJHA BRAND)= 1 tab after lunch =purifies blood, reduces pigmentation

-KUMKUMADI LEHYAM= 1 tsp at bedtime =enhances skin glow from within

-SARIVADYASAVA= 15 ml with water after dinner =acts on skin rakta and pitta dosha

2) EXTERNAL APPLICATION (HAIR + FACE)

FOR HAIR -NEELIBRINGADI TAILA =massage thrice weekly leave overnight

-BRAHMI-AMLA HAIR PACK -mix brahmi powder + amla powder + Aloe vera + 2 tbsp yogurt =apply on scalp and hair, leave for 45 mins then wash with mild shikakai

FOR FACE=SCAR AND GLOW

-KUMKUMADI TAILA= nightly massage 5 drops Into face and underage

-Mix massor dal powder + sandalwood + mulethi + raw milk or rose water =apply for 20 mins , gently scrub and wash

DIET ENHANCERS your current diet sounds good, but these tweaks will enhance your results

-include black sesame seeds-1 tsp daily -add soaked almonds 5 + 1 date in morning - drink triphala water at night (1 tsp triphala soaked overnight in warm water) - weekly detox day-light khichdi + warm water + herbal. teas

PANCHAKARMA(optional but highly beneficial) -takradhara -nasya with anutaila -raktamokshana-leech therapy

LIFESTYLE AND YOGA -sleep by 10 pm-crucial for hormonal balance and skin repair -hair specific yoga= sarvangasana, shashankasana, matsyasana -avoid hot water for head wash

THANK YOU

DR. HEMANSHU MEHTA

637 उत्तरित प्रश्न
29% सर्वश्रेष्ठ उत्तर

0 replies

Wrinkles, pigmentation, and hair loss can indeed be of concern. In Ayurveda, these issues often arise from an imbalance in the doshas, predominantly a vata and pitta imbalance. Low agni (digestive fire) and weakened sapta dhatus (particularly the rasa and rakta dhatus) may contribute to these symptoms.

For addressing pigmentation and wrinkles, consider using a paste made from sandalwood powder and rose water, applying it to your face for 15-20 minutes before rinsing with lukewarm water. Practicing this a few times a week can balance pitta and promote skin health. Additionally, incorporate a natural oil massage using sesame or almond oil to nourish the skin and maintain moisture, focusing on areas prone to wrinkles.

Hair loss patches and general hair fall can also benefit from specific Ayurvedic practices. A daily scalp massage with bhringraj oil or coconut oil revitalizes hair follicles and reduces vata imbalance. Consider consuming amla (Indian gooseberry) regularly – either as fresh fruit or juice, enriches hair with vitamin C, promoting growth.

Pay attention to your diet by including foods that are cooling and nourishing – like cucumbers, ghee, almonds, and milk – this aids in maintaining balance in the body. Drink plenty of water, and avoid excessively spicy, processed foods that may aggravate pitta and contribute to hair and skin problems.

Ensure you’re managing stress, as emotional well-being has a pronounced effect on hair and skin health. Practices like meditation or pranayama can help balance your nervous system.

If symptoms persist despite these interventions, it would be wise to consult a healthcare professional or an Ayurvedic practitioner for a personalized plan, ensuring no underlying conditions.

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For pigmentation and wrinkles, Ayurveda emphasizes the balance of doshas, especially concerning the Vata dosha, which increases with age and can lead to wrinkles and dryness. For pigmentation, Pitta imbalance is often involved. To tackle these an begin with diet, which is integral to enhancing skin health. Incorporate more cooling, Pitta-pacifying foods, such as coconut water, aloe vera juice, and sweet fruits like pomegranates and grapes. Avoid spicy, oily, and sour foods as they can aggravate Pitta further. Drinking amla juice daily can help reduce pigmentation, given its rich vitamin C content chosen for promoting glow.

For wrinkles, applying a paste of sandalwood and rose water to the affected areas can be beneficial. It soothes the skin and provides moisture. Consider facial massage with warm sesame oil or almond oil to moisturize and tone the skin. Regularly practice abhyanga (self-massage) with these oils, taking special care around the eyes, which are delicate.

For hair fall and loss, the focus shifts to enhancing scalp health and balancing internal nutrition. Begin with regular oil massage using bhringraj oil or coconut oil, which strengthens the roots and promotes growth. Brahmi oil also works wonders for calming the scalp and nourishing hair follicles. Massaging the scalp in gentle, circular motions increases blood flow, nurturing the hair roots.

Herbal supplements such as Triphala can help detoxify the system and have long-term benefits for skin and hair. Mix 1 teaspoon of Triphala powder in lukewarm water and consume it during night time before sleeping. This supports digestion and elimination, impacting skin, and scalp health positively.

Reduce stress with daily practices of yoga or pranayama, essential for balancing doshas and reducing hair loss triggered by stress or anxiety. Savasana and Pranayama, with equal practice of alternate nostril breathing, stabilizes mental health.

Not to overlook, ensure adequate sleep—sleeping early keeps Vata dosha in check, curbing wrinkle formation and ensuring the body repairs itself naturally. Kindly note, if hair loss continues to worsen, consult with healthcare professionals for detailed evaluation and to rule out other underlying conditions.

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Dr. Anirudh Deshmukh
I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.
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Dr. Ayush Varma
I am an Ayurvedic physician with an MD from AIIMS—yeah, the 2008 batch. That time kinda shaped everything for me... learning at that level really forces you to think deeper, not just follow protocol. Now, with 15+ years in this field, I mostly work with chronic stuff—autoimmune issues, gut-related problems, metabolic syndrome... those complex cases where symptoms overlap n patients usually end up confused after years of going in circles. I don’t rush to treat symptoms—I try to dig into what’s actually causing the system to go off-track. I guess that’s where my training really helps, especially when blending classical Ayurveda with updated diagnostics. I did get certified in Panchakarma & Rasayana therapy, which I use quite a lot—especially in cases where tissue-level nourishment or deep detox is needed. Rasayana has this underrated role in post-illness recovery n immune stabilization, which most people miss. I’m pretty active in clinical research too—not a full-time academic or anything, but I’ve contributed to studies on how Ayurveda helps manage diabetes, immunity burnout, stress dysregulation, things like that. It’s been important for me to keep a foot in that evidence-based space—not just because of credibility but because it keeps me from becoming too rigid in practice. I also get invited to speak at wellness events n some integrative health conferences—sharing ideas around patient-centered treatment models or chronic care via Ayurvedic frameworks. I practice full-time at a wellness centre that’s serious about Ayurveda—not just the spa kind—but real, protocol-driven, yet personalised medicine. Most of my patients come to me after trying a lot of other options, which makes trust-building a huge part of what I do every single day.
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Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
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Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
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Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
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Dr. Fabin John Maliyeakkal
I am working in the space of Marma therapy since the past 5+ years, and honestly the deeper I go into it the more I realize how underrated this science is!! My work’s mostly centered around helping people reconnect with their body’s natural healing using marma chikitsa—not just as a treatment, but like a whole experience. These vital energy points, when stimulated right, can shift a lot—pain, stiffness, nerve issues, even stuff you didn’t think was linked, starts to shift. I work a lot with musculoskeletal conditions—like joint immobility, frozen shoulder, cervical stuff, backaches, and also sports injuries or slipped disc-type of nerve compressions. Sometimes just working the pressure point opens up movement, and you don’t always need pills or heavy treatment lines. I try to reduce dependance on medicines as much as possible unless really-really needed, cause Ayurveda always says, nidan parivarjan is the first step. My sessions always go beyond just the therapy table—I talk diet, daily routine, what their lifestyle actually looks like, and make tweaks that fit them. Like, no copy-paste plan, coz everyone’s prakriti is so different, right?? This root-cause approach helps not only with healing but also that long-term balance people are usually missing. I really believe Marma therapy has this ancient power to reset people, especially in times where stress and chronic fatigue is just everywhere. My aim is to revive it in a way that fits modern life—clean, simple, but rooted. And yeah, while I’ve seen results, I also keep learning from every case—some days you think you know the whole protocol and then boom, a patient shows you something new. That’s the beauty of this path.
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Dr. Prasad Pentakota
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613 समीक्षाएँ
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
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305 समीक्षाएँ
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
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111 समीक्षाएँ
Dr. Keerthana PV
I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
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137 समीक्षाएँ
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
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Jaxon
3 घंटे पहले
This answer really helped me understand what changes to make! Appreciate the detailed diet tips and med advice. Thanks, feeling hopeful now!
This answer really helped me understand what changes to make! Appreciate the detailed diet tips and med advice. Thanks, feeling hopeful now!
Nora
19 घंटे पहले
Thanks a ton for the clear and practical advise! Loved the details, really helped me get a handle on things. The yoga tips are a game-changer!
Thanks a ton for the clear and practical advise! Loved the details, really helped me get a handle on things. The yoga tips are a game-changer!
Victoria
19 घंटे पहले
Really appreciated the detailed response! Loved the natural remedies suggested—it’s exactly what I was looking for. Thanks a bunch!
Really appreciated the detailed response! Loved the natural remedies suggested—it’s exactly what I was looking for. Thanks a bunch!
Noah
19 घंटे पहले
Thanks, this helped a ton! Your advice was clear and gave me a solid plan for managing my symptoms. Much appreciated!
Thanks, this helped a ton! Your advice was clear and gave me a solid plan for managing my symptoms. Much appreciated!